| NPI | 1053793968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 59999) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 59999) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2023-09-26 |