| NPI | 1821535386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 61246) |
| 104100000X Social Worker (Licence: TX 61246) | |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2022-01-19 |