| NPI | 1396471439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19277) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904013993) |
| 1041C0700X Social Worker, Clinical (Licence: TX 107602) | |
| Enumeration Date | 2022-07-30 |
| Last Update Date | 2022-08-01 |