| NPI | 1174773295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 4861) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 4861) |
| 1041C0700X Social Worker, Clinical (Licence: TX 107531) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2023-12-19 |