| NPI | 1932681483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 6171451-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 1617451-3502) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2023-08-02 |