| NPI | 1881142321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104790) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW16243) |
| 1041C0700X Social Worker, Clinical (Licence: MS C9901) | |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2024-03-12 |