| NPI | 1881164432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23103) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 54488) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |