| NPI | 1245829290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 7970) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 106575) |
| 1041C0700X Social Worker Clinical (Licence: KY 255336) | |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2023-10-03 |