| NPI | 1417461872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9159-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 59804) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2022-04-21 |