| NPI | 1508870759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 23691) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 32691) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-12-20 |