| NPI | 1235981671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 116111) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 33564) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2026-01-21 |