| NPI | 1730418872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007282) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 109509) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2023-06-20 |