| NPI | 1568813962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9793828-3501) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 9793828-3501) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2026-01-05 |