| NPI | 1104681006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76914) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 111507) |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |