| NPI | 1366186371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12817358-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 56820) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2023-03-27 |