| NPI | 1588875785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 51043) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW00007344) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2022-08-03 |