| NPI | 1619385515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103850) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 95969) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2023-10-25 |