| NPI | 1699137091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9489234-3502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 94892343501) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-05-16 |