| NPI | 1447110812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106597) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 28116-C) |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-12-02 |