| NPI | 1518150648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 6692212-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 6692212-3506) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2023-12-18 |