| NPI | 1750485181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 13617473-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 257351) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2023-10-27 |