| NPI | 1902228232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9045497-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 2061976) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2026-04-03 |