| NPI | 1003129586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7678596-3502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 5139) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2023-04-07 |