| NPI | 1902479694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 13021048-3501) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2025-05-15 |