| NPI | 1487037487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 17095) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW09926974) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2021-08-31 |