| NPI | 1063747772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2009008986) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 110950) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2026-03-13 |