| NPI | 1265981260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64505) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924373) |
| Enumeration Date | 2016-10-02 |
| Last Update Date | 2022-01-19 |