| NPI | 1497415566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61364678) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 51011) |
| 1041C0700X Social Worker, Clinical (Licence: AZ 13993) | |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2023-10-27 |