| NPI | 1902170947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57595) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 084271-1) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2023-07-05 |