| NPI | 1225341878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 007166) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L15807) |
| 1041C0700X Social Worker Clinical (Licence: TX 114511) | |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2025-08-07 |