| NPI | 1174272413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0011990) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 114104) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2025-04-15 |