| NPI | 1447989900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104917) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 32100) |
| 104100000X Social Worker (Licence: NM SWB-2024-0868) | |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2026-08-28 |