| NPI | 1912373812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 14223428-3502) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2025-05-28 |