| NPI | 1679218101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 105041) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 105041) |
| 1041C0700X Social Worker, Clinical (Licence: ID 44425) | |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2024-01-08 |