| NPI | 1245982735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 111943) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21815) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2024-05-24 |