| NPI | 1669926044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11238890-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 5671032) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2025-07-21 |