| NPI | 1871056887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 28700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 226367) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2025-04-27 |