| NPI | 1588384366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20372) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 112286) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2026-03-29 |