| NPI | 1609151166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 60019) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA CSW004159) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2022-10-06 |