| NPI | 1588314850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 67872) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO CSW.09931899) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2025-06-17 |