| NPI | 1679344923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 109644) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 5117) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2025-01-10 |