| NPI | 1356721203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 108990) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR A4047) |
| 104100000X Social Worker (Licence: TX 59914) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2022-12-22 |