| NPI | 1215421755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 61888) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09932835) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2026-04-16 |