| NPI | 1649653411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 13642170-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L10960) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2026-01-07 |