| NPI | 1801958855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 52031) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003636) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2023-05-04 |