| NPI | 1649089517 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62051)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-1302)  | 
| Enumeration Date | 2025-01-04 | 
| Last Update Date | 2025-01-04 |