| NPI | 1184065542 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 37446) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C6488) | 
| Enumeration Date | 2013-07-15 | 
| Last Update Date | 2025-05-30 |