| NPI | 1881288819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107069) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4479) |
| Enumeration Date | 2021-02-20 |
| Last Update Date | 2022-06-08 |