| NPI | 1215455050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9032059-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW17005) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2020-10-08 |