| NPI | 1801264007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107138) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 103572) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2023-02-02 |