| NPI | 1295332112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015143) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 110191) |
| Enumeration Date | 2020-10-04 |
| Last Update Date | 2023-08-28 |