| NPI | 1548376742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11055197-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 20778) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-09-04 |