| NPI | 1891561668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 10496970-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 41052) |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2024-07-25 |