| NPI | 1285971176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 62526283501) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2025-05-20 |