| NPI | 1427642065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12753455-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 12753455-3506) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2026-06-04 |