| NPI | 1992518690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64147) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW6134) |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2026-05-22 |