| NPI | 1932567146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18819) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 109500) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC2000002566) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2026-01-30 |