| NPI | 1023625464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114095) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 109839) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50082778) | |
| 1041C0700X Social Worker, Clinical (Licence: AL 4476c) | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2026-03-04 |