| NPI | 1366834665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 111461) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.028343) |
| 1041C0700X Social Worker, Clinical (Licence: OK 8599) | |
| 1041C0700X Social Worker, Clinical (Licence: AR 26265-C) | |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2026-06-09 |