| NPI | 1588024582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18365) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 104466) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2025-10-11 |