| NPI | 1275244089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 105833) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical | |
| 1041S0200X Social Worker School | |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2024-02-19 |