| NPI | 1861872467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 3524C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AR 7411C) |
| 1041C0700X Social Worker Clinical (Licence: TX 59960) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2023-07-26 |