| NPI | 1376965871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63742) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: DC LG50079964) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2022-07-21 |