| NPI | 1235434507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103685) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60417321) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2021-04-20 |