| NPI | 1285304980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 227515) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 68665) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2022-04-14 |