| NPI | 1225235047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 50487) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 7614) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2024-09-05 |