| NPI | 1780034744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112662) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 109944) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2023-10-17 |