| NPI | 1801330634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12632358-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW4416) |
| 1041C0700X Social Worker, Clinical (Licence: NC C017543) | |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2025-01-02 |