| NPI | 1659931921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 6849674-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 68496743503) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2022-10-20 |