| NPI | 1093392532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 109776) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61536087) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-12-18 |