| NPI | 1326593872 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 10371696-3501)  | 
| Additional Taxonomies | 104100000X Social Worker | 
| Enumeration Date | 2016-08-24 | 
| Last Update Date | 2024-06-14 |