| NPI | 1770802720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 115759) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 129121) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2025-06-06 |