| NPI | 1962733816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 111313) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW798) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2026-04-17 |