| NPI | 1013500412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25803) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 111700) |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2024-01-26 |