| NPI | 1417554569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69649) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 20246) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2021-06-13 |