| NPI | 1205428224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104297) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW21668) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2025-03-31 |