| NPI | 1174008908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 112684) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NV 10849-C) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2024-05-22 |