| NPI | 1366119927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 67013) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ 20183) |
| 1041C0700X Social Worker Clinical (Licence: ME LC23732) | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2024-08-20 |