| NPI | 1851102750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 24765) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 106984) |
| 1041C0700X Social Worker, Clinical (Licence: NM SWB-2026-0958) | |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2026-07-21 |