| NPI | 1972038404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 18339) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 68910) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-06-27 |