| NPI | 1982246617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 115274) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C9669) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2025-03-19 |