| NPI | 1710769286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 097802) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 107675) |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-08-27 |