| NPI | 1003573353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 118012913502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 118012913502) |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2021-11-22 |