| NPI | 1841996865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 68518) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CW.09928904) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |