| NPI | 1861163750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60274) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 103205) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |