| NPI | 1285206862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 62805) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AR 9758-C) |
| 102L00000X Psychoanalyst (Licence: TX 62805) | |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2024-01-03 |