| NPI | 1124738141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104040) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2026003823) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2026-03-01 |