| NPI | 1437723079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 55219) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 18457) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05706300) | |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |