| NPI | 1174628846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 16805) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 38010) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-08-02 |