| NPI | 1972928133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 56373) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50082260) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2020-10-20 |