| NPI | 1326710625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 22030) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 118049) |
| 1041C0700X Social Worker, Clinical (Licence: MD 22030) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 118049) | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2026-02-21 |