| NPI | 1003674490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904018630) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 109835) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2026-02-03 |