| NPI | 1619334398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 68968) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903001931) |
| 1041C0700X Social Worker, Clinical (Licence: OK 6547) | |
| 1041C0700X Social Worker, Clinical (Licence: TN 6994) | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2023-05-16 |