| NPI | 1881913093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 4182) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 65270) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2023-07-19 |