| NPI | 1669031753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 64908) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013052) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |