| NPI | 1376393819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110296) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904013464) |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |