| NPI | 1689356495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 13103-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 56355) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |