| NPI | 1538875141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014854) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 64770) |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2025-04-22 |