| NPI | 1952756264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12544342-3501) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2023-12-12 |