| NPI | 1114419504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106059) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS c9291) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2025-05-01 |