| NPI | 1487106209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62852) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4503) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2020-05-20 |