| NPI | 1023597499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20061) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 65198) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2024-10-18 |