| NPI | 1457097677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 13431587-3501) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2026-08-20 |