| NPI | 1346841459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011967) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 103383) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |