| NPI | 1679943286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 109489) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 8742) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2012041795) | |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2023-07-23 |