| NPI | 1083436331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 109257) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA Sw.Lw70052218) |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2026-09-08 |