| NPI | 1386181790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 16719) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926683) |
| 1041C0700X Social Worker, Clinical (Licence: TX 104821) | |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2022-08-09 |