| NPI | 1518572999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 125763) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 119312) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2026-07-24 |