| NPI | 1851666390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69033) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 070208) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2023-08-10 |