| NPI | 1235822420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12278178-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09929198) |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |