| NPI | 1659855369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 109438) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 097301) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2024-04-15 |