| NPI | 1710650189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 9455-M) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 109123) |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2025-01-04 |