| NPI | 1316457583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C12047) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 125905553501) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2022-03-28 |