| NPI | 1780179739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11343628-3502) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2019-06-19 |