| NPI | 1487688040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006210) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 114982) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2025-12-10 |