| NPI | 1568579126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 29704) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005066) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2022-07-27 |