| NPI | 1568146918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103833) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931121) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2025-02-12 |