| NPI | 1649847971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107329) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 111681-01) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2025-07-28 |