| NPI | 1083383996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54827) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 9942) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2025-06-10 |