| NPI | 1780349142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 65294) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 24018) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2026-09-19 |