| NPI | 1558133736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107767) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2103304) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW022608) | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |