| NPI | 1134692445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67118) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 67118) |
| 1041C0700X Social Worker, Clinical (Licence: CA 86372) | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2023-06-28 |