| NPI | 1790473759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60419) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09928812) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |