| NPI | 1780275479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09931254) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 115420) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2026-02-18 |