| NPI | 1447503180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 6362) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 9501) |
| 1041C0700X Social Worker Clinical (Licence: MO 2023003591) | |
| 1041C0700X Social Worker Clinical (Licence: TX 1088863) | |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2023-03-09 |