| NPI | 1184879223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN 0000008265) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 109754) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2025-10-15 |