| NPI | 1710867833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67834) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 16129) |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2026-03-03 |