| NPI | 1598386179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 123883103501) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2024-07-10 |