| NPI | 1760519342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 26690) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 26690) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-09-13 |