| NPI | 1740800085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 4849755-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 48497553502) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2022-07-15 |