| NPI | 1053825794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 59799) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 13139) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2025-01-03 |