| NPI | 1942976469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 112632) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2023038537) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2023038573) | |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2025-11-04 |