| NPI | 1508544800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110863) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 2239) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-08-15 |