| NPI | 1205066479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA LCSW BACS #10755) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX LCSW # 30998) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2023-05-08 |