| NPI | 1255868535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 60901) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 60901) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2025-07-12 |