| NPI | 1750904009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11772120-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 11772120-3506) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2022-09-15 |