| NPI | 1366986010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 25267) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 07881182) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2020-07-06 |