| NPI | 1043427511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 107680) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WV DP00944641) |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2023-03-22 |