| NPI | 1326416835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011143) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 103983) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2022-05-31 |