| NPI | 1629720370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60299) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| 104100000X Social Worker (Licence: TX 60299) | |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2024-06-19 |