| NPI | 1609413210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60952) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-115021) |
| 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-37865) | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2022-10-04 |