| NPI | 1518360601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 127464) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 111987) |
| 1041C0700X Social Worker, Clinical (Licence: CO 09927632) | |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2025-06-10 |