| NPI | 1407261100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 89710) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: TX 103991) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2026-03-03 |