| NPI | 1972092096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 105621) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW021423) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2024-08-29 |