| NPI | 1528701208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 105119) |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2025-01-30 |