| NPI | 1417369059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8622903-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 86229033502) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2025-05-20 |