| NPI | 1386381341 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12162736-3501)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927166)  | 
| 1041C0700X Social Worker, Clinical (Licence: NV 9831-C)  | |
| Enumeration Date | 2022-05-19 | 
| Last Update Date | 2023-04-25 |