| NPI | 1730461336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 73771) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 105182) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2023-08-31 |