| NPI | 1538654926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67106) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 24523) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2021-03-01 |