| NPI | 1720746910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64824) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 13977) |
| Enumeration Date | 2021-12-04 |
| Last Update Date | 2023-06-22 |