| NPI | 1851924682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104550) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW60510867) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2021-12-10 |