| NPI | 1063067551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 10336371-3502) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 10336371-3503) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2021-02-23 |