| NPI | 1750788774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25845) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 60034) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2021-09-29 |