| NPI | 1285199638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 116880) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 61004) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2024-01-13 |