| NPI | 1326761917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121353) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 67272) |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2025-01-23 |