| NPI | 1174328207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51521) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2025004074) |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |