| NPI | 1952179475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 65574) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-1246) |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-02-21 |