| NPI | 1053162958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 112275) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 8431) |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |