| NPI | 1972085074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 17429) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 65612) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW008950) | |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2024-12-09 |