| NPI | 1538755020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 24958) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 104242) |
| 101YM0800X Counselor, Mental Health (Licence: TX 24958) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 104242) | |
| 101YM0800X Counselor, Mental Health (Licence: FL TPSW1951) | |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW1591) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 104242) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 104242) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 24958) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX 24958) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 24958) | |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2024-10-30 |