| NPI | 1528471372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61223201) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 55028) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2022-09-29 |