| NPI | 1861833980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 105489) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 218035) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50080638) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2021-09-15 |