| NPI | 1629545074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106977) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW007893) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61337620) | |
| 1041C0700X Social Worker, Clinical (Licence: MS C11216) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 113622) | |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2025-08-01 |