| NPI | 1720697055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11652815-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 11652815-3502) |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2022-11-29 |