| NPI | 1942953674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 106731) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-10-19 |