| NPI | 1134945611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 109493) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61544875) |
| Enumeration Date | 2024-11-29 |
| Last Update Date | 2024-11-29 |