| NPI | 1770887838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16966) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: KY 253113) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 65706) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2021-05-20 |