| NPI | 1053001958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103860) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 07363) |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW7062) | |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2026-08-15 |