| NPI | 1811629397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103764) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C016466) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2024-03-04 |