| NPI | 1164067542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107370) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW19532) |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2023-08-07 |