| NPI | 1043997299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63012) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089270) |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-29 |