| NPI | 1942669668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 5192) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 114394) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200003371) | |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2025-02-24 |