| NPI | 1851627400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63743) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C007500) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2024-02-05 |