| NPI | 1740685379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 39934) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33006734A) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2022-09-21 |