| NPI | 1093416810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw21120) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 112853) |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2024-09-20 |