| NPI | 1174483945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 35047) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 109469) |
| Enumeration Date | 2025-11-14 |
| Last Update Date | 2025-11-14 |