| NPI | 1619496031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53309) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L16178) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2026-01-23 |