| NPI | 1700974847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107453) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-06002) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-01-11 |