| NPI | 1699020420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103423) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1302508-SUPV) |
| 1041C0700X Social Worker, Clinical (Licence: NC C012140) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2020-11-20 |