| NPI | 1215624176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015715) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 67434) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2024-03-09 |