| NPI | 1073149662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 11249783-3502) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 110353) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2023-06-07 |