| NPI | 1043636830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 113530) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 58630) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2024-09-26 |