| NPI | 1275045676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 9927300) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 102827) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2021-07-09 |