| NPI | 1265089320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 61444) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: LA 18636) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2024-07-08 |