| NPI | 1033690102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 11337) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 66587) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-08-15 |