| NPI | 1497127419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12464906-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 19464) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2024-04-16 |