| NPI | 1588344980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 106283) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 106283) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2025-02-18 |