| NPI | 1124251558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 55037) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 31594) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2022-11-16 |