| NPI | 1568083293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 13355) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 65844) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2023-09-13 |