| NPI | 1528353240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 5046) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2011012190) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2019027301) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 58574) | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2023-05-24 |