| NPI | 1336853076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64235) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 30892) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2026-08-10 |