| NPI | 1033381322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: DC LC50078439) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 57745) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2021-06-29 |