| NPI | 1255661054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 006147) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 29653) |
| 1041C0700X Social Worker, Clinical (Licence: TX 61196) | |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2018-12-28 |