| NPI | 1528420908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 56970) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C014808) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2023-10-06 |