| NPI | 1639797582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17597) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 59756) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2021-02-04 |