| NPI | 1700659596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107387) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4931) |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2026-03-27 |