| NPI | 1528019551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5840C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 63534) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2025-03-17 |