| NPI | 1255654273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3367) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 64695) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2025-02-28 |