| NPI | 1710429238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51608) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7582) |
| 104100000X Social Worker (Licence: TX 51608) | |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2023-11-08 |