| NPI | 1730456104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 7746360-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 7746360-3502) |
| 1041C0700X Social Worker Clinical (Licence: UT 746360-3501) | |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2023-02-16 |