| NPI | 1003864356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 35546) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929170) |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW912) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-07-29 |