| NPI | 1679889851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 55131) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016726) |
| 1041C0700X Social Worker, Clinical (Licence: CT 007383) | |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2023-04-12 |