| NPI | 1184323537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110146) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 12309983-3501) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-08-13 |