| NPI | 1417526492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63406) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927202) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-12-19 |