| NPI | 1902499627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104042) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 97867) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2021-02-12 |