| NPI | 1578112744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 11451542-3502) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2022-05-17 |