| NPI | 1023521671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 9936) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 57061) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2021-03-29 |