| NPI | 1245755800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 4959997-3501) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2023-02-07 |