| NPI | 1174499404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 41389864) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 41389864) |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |