| NPI | 1659085892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57927) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61632676) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2025-07-27 |