| NPI | 1346927654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110132) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 6794) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904003711) | |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-06-28 |