| NPI | 1629415872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62260) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72 089057) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2024-03-08 |