| NPI | 1548464712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 5924191-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 59241913502) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2023-04-03 |