| NPI | 1790382661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 14770) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 111587) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2023-11-28 |