| NPI | 1194251298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 123484703501) |
| Additional Taxonomies | 174400000X Specialist |
| 1041C0700X Social Worker, Clinical (Licence: UT 12348470-3502) | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2025-03-05 |