| NPI | 1134788342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110315) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 137220) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.030818) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2026-02-26 |