| NPI | 1184190928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54668) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016997) |
| 1041C0700X Social Worker, Clinical (Licence: MD 32717) | |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2026-05-06 |