| NPI | 1295271468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 6630646-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-09510) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2019-11-22 |