| NPI | 1649570912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103906) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 10268) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW17487) | |
| 1041C0700X Social Worker, Clinical (Licence: MS C11153) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 14193450-3501) | |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2025-03-28 |