| NPI | 1750648119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 65529) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw4976) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2023-03-07 |