| NPI | 1073127593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 16999) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2026-09-07 |