| NPI | 1134723927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904012458) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 113039) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2026-05-01 |