| NPI | 1457606766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 105413) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60014198) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2025-11-07 |