| NPI | 1285039925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 14429) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117166) |
| 1041C0700X Social Worker, Clinical (Licence: TX 62463) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2017-05-02 |