| NPI | 1649723487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 90482) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 117308) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2026-04-23 |