| NPI | 1497499289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5377C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 113669) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2024-10-09 |