| NPI | 1013427293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54824) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW021196) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2021-08-16 |