| NPI | 1720605652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106431) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 108070) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2025-09-23 |