| NPI | 1740657907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 113932) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C009610) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2025-04-14 |