| NPI | 1932583440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11318) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 107565) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2024-10-14 |