| NPI | 1134773260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904016576) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 58043) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2024-04-30 |