| NPI | 1255407748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 92413) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 21342) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2026-03-27 |