| NPI | 1023621067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104546) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 91105) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2025-05-22 |