| NPI | 1063181162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 23764) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 65213) |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2025-04-16 |