| NPI | 1679239982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103723) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 5399-0) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2025-11-05 |