| NPI | 1740875830 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 113166) | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 175T00000X Peer Specialist | |
| 104100000X Social Worker (Licence: LA 18320) | |
| Enumeration Date | 2021-03-02 | 
| Last Update Date | 2025-06-22 |