| NPI | 1518118512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 40251) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2022-04-19 |