| NPI | 1821756214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106363) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 16800) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2022-03-01 |