| NPI | 1962046086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9056829-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 9056829-3501) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |