| NPI | 1104300110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69252) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LSW-2453) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2020-10-16 |