| NPI | 1629425830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107132) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 91853) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2022-03-15 |