| NPI | 1831771344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 14152275-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 15502) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2026-01-02 |