| NPI | 1942383427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 50563) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 110823) |
| 1041C0700X Social Worker Clinical (Licence: NV 9859-C) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-03-17 |