| NPI | 1679994057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 6719) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 112661) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2026-04-13 |