| NPI | 1255899332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 22935) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 29382) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2025-04-15 |