| NPI | 1821394784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 171W00000X Contractor |
| 104100000X Social Worker (Licence: TX 38558) | |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2023-11-27 |