| NPI | 1609373315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 111033) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 05853) |
| 1041C0700X Social Worker, Clinical (Licence: NC C012920) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-09-24 |