| NPI | 1619653755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103767) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 103767) |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW4978) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904017850) | |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2025-09-22 |