| NPI | 1730862673 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 114552) | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 101Y00000X Counselor | |
| Enumeration Date | 2023-08-08 | 
| Last Update Date | 2025-04-16 |