| NPI | 1174221089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 342947-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09932775) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2026-02-18 |