| NPI | 1023257565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 55590) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-06820) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904015284) | |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2024-04-18 |