| NPI | 1821772179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53773) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 8958) |
| 1041C0700X Social Worker, Clinical (Licence: AR 12640-C) | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-07-17 |