| NPI | 1568218238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 09040115456) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 111496) |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-24 |