| NPI | 1134854987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 20173) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 63875) |
| Enumeration Date | 2022-07-17 |
| Last Update Date | 2024-06-10 |