| NPI | 1659620441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX SW110131) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW18541) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2024-05-09 |