| NPI | 1104629922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 105071) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW25531) |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2026-03-24 |