| NPI | 1023722360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 109395) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW023143) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |