| NPI | 1639824899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107360) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000013694) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2024-07-30 |