| NPI | 1801591243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P018837) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 110040) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |