| NPI | 1376250357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022007514) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 65591) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-12-16 |