| NPI | 1154849727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 18603) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 55276) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2021-05-21 |