| NPI | 1699263343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14076) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 016284) |
| 1041C0700X Social Worker, Clinical (Licence: TX 113244) | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2026-04-17 |