| NPI | 1548041155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ 16973) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 65576) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2024-06-20 |