| NPI | 1295962801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 52845) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L16458) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2025-09-22 |