| NPI | 1982485975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 112479) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015587) |
| 1041C0700X Social Worker, Clinical (Licence: SC 15735) | |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2024-02-21 |