| NPI | 1962957282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 4967477-3502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 4967477-3501) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2025-07-18 |