| NPI | 1518612548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 51769) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 51769) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2023-05-30 |