| NPI | 1003594755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66097) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 23576) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2026-04-23 |