| NPI | 1053944975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 116244) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 22243) |
| 1041C0700X Social Worker, Clinical (Licence: MT 64897) | |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2025-10-09 |