| NPI | 1356111702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9830) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 67378) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2025-08-25 |