| NPI | 1427615491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924175) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 67677) |
| 1041C0700X Social Worker, Clinical (Licence: NC C012004) | |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2022-07-21 |