| NPI | 1992328496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11772158-3506) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 11772158-3501) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2024-03-07 |