| NPI | 1518246941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101947) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 111509) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2024-10-01 |