| NPI | 1700300605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53395) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 8542) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61358017) | |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2025-06-17 |