| NPI | 1003201740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019047379) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 108143) |
| 1041C0700X Social Worker, Clinical (Licence: AL 4552C) | |
| 1041C0700X Social Worker, Clinical (Licence: KS 06888) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2025-08-11 |