| NPI | 1760799266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 2145) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 28702) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2025-01-28 |