| NPI | 1255810917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013736) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 15305) |
| 1041C0700X Social Worker, Clinical (Licence: TX 107846) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 090826) | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2023-03-10 |