| NPI | 1639748155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 11291-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 107933) |
| 104100000X Social Worker | |
| Enumeration Date | 2021-06-19 |
| Last Update Date | 2025-01-23 |