| NPI | 1851695993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 59615) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C007648) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2024-09-25 |