| NPI | 1568090033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67608) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 82267) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |