| NPI | 1275144602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 59738) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L10355) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904010883) | |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2023-06-23 |