| NPI | 1215690516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 103995) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 109807) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2023-03-30 |