| NPI | 1962022657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 108279) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014194) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2025-01-31 |