| NPI | 1124324918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 36546) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1121620) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2026-05-12 |