| NPI | 1790417798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107446) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 106916) |
| 1041C0700X Social Worker, Clinical (Licence: NV 9956-M) | |
| 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-20388) | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |