| NPI | 1821762279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 59350) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 15266) |
| Enumeration Date | 2021-08-08 |
| Last Update Date | 2022-11-22 |