| NPI | 1639609118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926899) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 111829) |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: CT 13522) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-01-08 |