| NPI | 1851055545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 66484) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS M9134) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-10-28 |