| NPI | 1114691474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 61904) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 17427) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2022-09-28 |