| NPI | 1306649504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103435) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 133323) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-09-04 |