| NPI | 1922423870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54455) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1000147) |
| 1041C0700X Social Worker, Clinical (Licence: CA 22882) | |
| Enumeration Date | 2014-03-02 |
| Last Update Date | 2023-03-15 |