| NPI | 1861708786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 115511) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW60869700) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2025-04-30 |