| NPI | 1104402155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 65254) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 11903428-3507) |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2023-10-23 |