| NPI | 1184214629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 52086) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09931535) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2025-05-12 |