| NPI | 1740870906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 13550082-3502) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 13550082-3503) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2024-09-26 |