| NPI | 1174181069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24888) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW19994) |
| 1041C0700X Social Worker, Clinical (Licence: TX 108513) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2025-05-22 |