| NPI | 1912318734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19793) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 107687) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2023-05-19 |