| NPI | 1720789100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000005931) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 107431) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |