| NPI | 1649422312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926908) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 37782) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2023-08-16 |