| NPI | 1700397205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 112856303502) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2023-09-15 |