| NPI | 1861222705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 110512) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 6171142) |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2026-01-09 |