| NPI | 1346471026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 37080) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09933096) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2026-04-13 |