| NPI | 1891101408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 105424) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 101750) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2022-05-24 |