| NPI | 1659822666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 108578) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PR 13558) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2026-01-23 |