| NPI | 1689556565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 6146C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 68233) |
| 1041C0700X Social Worker, Clinical (Licence: MD 31323) | |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-09-08 |