| NPI | 1154805901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW21954) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 118278) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2026-01-30 |