| NPI | 1194291989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 108562) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-11216) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21560) | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2024-02-13 |