| NPI | 1083433593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 34173) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 107009) |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-12-11 |