| NPI | 1164084794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 56751) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW20071) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904019232) | |
| 1041C0700X Social Worker, Clinical (Licence: LA 16275) | |
| 1041C0700X Social Worker, Clinical (Licence: MO 2025049667) | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2025-11-18 |