| NPI | 1780281030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12881848-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009923203) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2024-10-15 |