| NPI | 1619570819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107793) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 117924) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2025-05-10 |