| NPI | 1265190672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9479) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW26444) |
| 1041C0700X Social Worker, Clinical (Licence: TX 116778) | |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2026-08-25 |