| NPI | 1841856747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012221) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 59291) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2024-04-10 |