| NPI | 1861063794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110276) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C9038) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-07-19 |