| NPI | 1831482223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 82855968-3502) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2021-11-29 |