| NPI | 1750682969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 61226) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 58.008846) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2022-02-21 |