| NPI | 1467037051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC50081040) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: LA 12598) |
| 1041C0700X Social Worker Clinical (Licence: TX 65732) | |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-12-08 |