| NPI | 1295107555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 13182) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 59256) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904012156) | |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2023-11-17 |