| NPI | 1992561591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 30803) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 2003-122) |
| 1041C0700X Social Worker, Clinical (Licence: WA 61351897) | |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW365) | |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |