| NPI | 1407258320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904018585) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 54663) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2025-06-11 |