| NPI | 1205495173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 114138) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 64999) |
| 1041C0700X Social Worker Clinical (Licence: WA LW61386001) | |
| 1041C0700X Social Worker Clinical (Licence: TX 64999) | |
| 1041C0700X Social Worker Clinical (Licence: MD 29354) | |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2023-10-19 |