| NPI | 1801308325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12419369-3501) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2022-09-21 |