| NPI | 1619900875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 5050) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 103725) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2021-01-07 |