| NPI | 1912561473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9127596-3502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 91275963502) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |