| NPI | 1316764277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110884) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 12562-m) |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |