| NPI | 1447995931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09927994) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 67435) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-06-09 |