| NPI | 1003467598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 18162) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 63033) |
| 1041C0700X Social Worker, Clinical (Licence: TN 8014) | |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2026-07-28 |