| NPI | 1184106502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110743) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014607) |
| 1041C0700X Social Worker, Clinical (Licence: NC C015858) | |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2023-08-26 |