| NPI | 1104312784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 66129) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW26483) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2026-08-11 |