| NPI | 1225865108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 56394) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929913) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |