| NPI | 1124680616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016384) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: UT 11827726-3501) | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2024-08-30 |