| NPI | 1124435219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64686) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: NY 096187-1) | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2023-05-12 |