| NPI | 1114500196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7627) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 61838) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |