| NPI | 1619032422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64963) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 4892-C) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2023-10-31 |