| NPI | 1548805013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO CSW.09927327) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 104100000X Social Worker (Licence: TX 54647) | |
| 1041C0700X Social Worker, Clinical (Licence: CO Csw.09927327) | |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2024-05-22 |