| NPI | 1790020287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 64513) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN 8580) |
| 171W00000X Contractor (Licence: NY 27 026484) | |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2023-09-07 |