| NPI | 1497519904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103639) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016829) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2025-11-14 |