| NPI | 1114278249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57766) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118177) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2026-05-12 |