| NPI | 1225607310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL TPSW4910) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 64961) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2025-02-18 |