| NPI | 1285914101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C7199) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 109062) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2025-05-09 |