| NPI | 1730382847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 6623582-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 6623582-3502) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2022-07-21 |