| NPI | 1356919997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6828) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 35076) |
| 1041C0700X Social Worker, Clinical (Licence: TX 116655) | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2025-10-22 |