| NPI | 1841728300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 120141) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 54437) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-30 |