| NPI | 1265139083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110903) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014886) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200001869) | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-10-24 |