| NPI | 1801376561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12821941-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 4171785) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2026-03-19 |