| NPI | 1679387641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 108139) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 130836) |
| Enumeration Date | 2025-02-01 |
| Last Update Date | 2025-06-17 |