| NPI | 1275060048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 13758) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 108278) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-03-02 |