| NPI | 1497328900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11537) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 104731) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |