| NPI | 1477178770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 8242) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 104165) |
| 1041C0700X Social Worker Clinical (Licence: FL TPSW2948) | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2023-07-24 |