| NPI | 1063043115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97280) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 114509) |
| 1041C0700X Social Worker, Clinical (Licence: UT 12885913-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW22260) | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2025-04-30 |