| NPI | 1194312017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58346) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-11188) |
| Enumeration Date | 2020-12-26 |
| Last Update Date | 2020-12-26 |