| NPI | 1326922691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 109580) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L16996) |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-09-29 |