| NPI | 1699349589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 132690) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 12268906-3502) |
| 1041C0700X Social Worker, Clinical (Licence: TX 112103) | |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2025-12-02 |