| NPI | 1497390330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11678892-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929380) |
| 1041C0700X Social Worker, Clinical (Licence: ID 7571639) | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2025-04-22 |