| NPI | 1306308036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 13069232-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 8732-123) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2022-11-03 |