| NPI | 1114663945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 113615) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV IC-1932) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2024-11-11 |