| NPI | 1184944670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 55047) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR Permanent License) |
| 1041C0700X Social Worker, Clinical (Licence: NY R0000024277-1) | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2024-04-02 |