| NPI | 1174285944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 112927) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904013177) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2024-07-31 |