| NPI | 1770984148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12719) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C011784) |
| 1041C0700X Social Worker, Clinical (Licence: TX 56209) | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2020-01-13 |