| NPI | 1093370629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 11436) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 56781) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |