| NPI | 1790672343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 59055) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 59055) |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |