| NPI | 1588113559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-40625) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 36071) |
| 104100000X Social Worker (Licence: TX 51148) | |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2022-01-17 |