| NPI | 1548920218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51224) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 17418) |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2025-11-04 |