| NPI | 1770154668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64203) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904019134) |
| 1041C0700X Social Worker, Clinical (Licence: MD 33837) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW24955) | |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2025-10-03 |