| NPI | 1205492006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 11275791-3501) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2023-03-06 |