| NPI | 1467293001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 111013) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 06276) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |