| NPI | 1578160925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110895) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 10270M) |
| 1041C0700X Social Worker, Clinical (Licence: AR 10270-C) | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2024-10-22 |