| NPI | 1912624909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110364) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 114005) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW23991) | |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2025-08-12 |