| NPI | 1518926880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 5909660-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 59096603502) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2019-03-15 |