| NPI | 1659032548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 28763) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 68294) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904013965) | |
| 104100000X Social Worker (Licence: TX 69294) | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2023-08-16 |