| NPI | 1639832496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104398) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 104398) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2025-12-26 |