| NPI | 1174172076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 109218) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 110842) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2024-10-16 |