| NPI | 1164152187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12879893-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 128798933506) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2025-07-20 |