| NPI | 1407390123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 112530) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 128558) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2026-09-17 |