| NPI | 1003063678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60328) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 7236) |
| 1041C0700X Social Worker, Clinical (Licence: KS 7236) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2020-06-25 |