| NPI | 1912331620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14473) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 57646) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2022-08-06 |