| NPI | 1275506255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 7666) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 60460) |
| 104100000X Social Worker (Licence: TX 41439) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2024-02-20 |