| NPI | 1558941294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021027920) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 65922) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904012806) | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2023-04-14 |