| NPI | 1619495264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 139187-3501) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2022-07-21 |