| NPI | 1720635428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5635c) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 62551) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2024-03-28 |