| NPI | 1467141754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C10539) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 106625) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-09-25 |