| NPI | 1063768380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX LCSW-S41173) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 41173) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2022-10-31 |