| NPI | 1003329319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 103505) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DE Q1-0001759) |
| 1041C0700X Social Worker Clinical (Licence: CA 96798) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2022-02-28 |