| NPI | 1932970902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 13407-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 19119) |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |