| NPI | 1801577838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62240) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06252200) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-06-17 |