| NPI | 1821760588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 67577) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA SX61458917) |
| 1041C0700X Social Worker Clinical (Licence: NM SWB-2025-0376) | |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2025-07-14 |