| NPI | 1306415369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 5040442-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 5040442-3502) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2022-03-11 |