| NPI | 1104570746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106947) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 090403) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |