| NPI | 1750425898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67079) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 369995-3501) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2026-02-05 |