| NPI | 1154978823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63638) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927263) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2022-02-21 |