| NPI | 1366890352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 39763) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 37963) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2024-01-18 |