| NPI | 1700441052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8175155-3501) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2026-06-11 |