| NPI | 1881986776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51971) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079030) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2022-03-23 |