| NPI | 1275929523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63093) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 12773) |
| 1041C0700X Social Worker, Clinical (Licence: NY 083983) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-08-05 |