| NPI | 1124549373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 59580) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ 22368) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2024-09-10 |