| NPI | 1669947347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104467) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 101456-1) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2021-07-27 |