| NPI | 1932501723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82406) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 220164) |
| 1041C0700X Social Worker, Clinical (Licence: TX 69521) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2022-11-03 |