| NPI | 1295305027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12348416-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22489) |
| 1041C0700X Social Worker, Clinical (Licence: OR L15353) | |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2026-01-05 |