| NPI | 1548816614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104895) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 104895) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2026-07-01 |