| NPI | 1639607427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122699) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW3550) |
| 1041C0700X Social Worker, Clinical (Licence: TX 112224) | |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2025-08-19 |