| NPI | 1457405532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 38843) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCSW77262) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2022-07-21 |