| NPI | 1689865404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13441) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 59715) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2023-08-28 |