| NPI | 1790389450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58695) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 129217) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2025-10-13 |