| NPI | 1174199061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12966616-3502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LMSW-40819) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2023-08-29 |