| NPI | 1083330559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63436) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 11612-C) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LSCW-22029) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 365996-3501) | |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2026-03-03 |