| NPI | 1437730959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21904) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 112780) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2024-03-14 |