| NPI | 1679107494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63783) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 63783) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2023-06-04 |