| NPI | 1538908249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 14220087-6009) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LPC-10554) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2025-08-19 |