| NPI | 1699192880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 58242) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW00007725) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2023-04-26 |