| NPI | 1376094326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119305) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 37960) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2023-07-12 |