| NPI | 1699515676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67940) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 14007424-3501) |
| 1041C0700X Social Worker, Clinical (Licence: AL 5795C) | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-07-05 |