| NPI | 1861903841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P011993) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C012923) |
| 1041C0700X Social Worker, Clinical (Licence: TX 103387) | |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2022-12-14 |