| NPI | 1821294380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: C012186) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 30403) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2022-03-22 |