| NPI | 1528333937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 4300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 61433) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2023-01-25 |