| NPI | 1790163608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64945) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C009483) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW16458) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2023-07-20 |