| NPI | 1528546983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 13081) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 104096) |
| Enumeration Date | 2018-07-29 |
| Last Update Date | 2023-10-10 |