| NPI | 1639539927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 6158) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 104581) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926718) | |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2024-09-03 |