| NPI | 1659652733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101570) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 112114) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2025-06-11 |