| NPI | 1144617572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 10981190-3501) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2021-01-14 |