| NPI | 1982612388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63485) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 4440) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2023-01-26 |