| NPI | 1245749415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14517) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 59690) |
| 1041C0700X Social Worker, Clinical (Licence: NV 11062-C) | |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2023-12-11 |