| NPI | 1306568324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 112129) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-20814) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2026-03-20 |