| NPI | 1356010391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: UT 9238054-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 9238054-3501) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2022-05-17 |