| NPI | 1760740583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62459) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 28205) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2021-10-21 |