| NPI | 1659756674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63347) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW005389) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2024-09-09 |