| NPI | 1639680580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L15711) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 111762) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2025-02-07 |