| NPI | 1023715687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 126264) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 67945) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-04-12 |