| NPI | 1114160777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57692) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005708A) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2023-05-16 |