| NPI | 1437630159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12740119-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 18410) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2025-12-16 |