| NPI | 1205118346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 67039) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 52749) |
| 1041C0700X Social Worker, Clinical (Licence: CO 09928299) | |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2023-11-08 |