| NPI | 1679372676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 119502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 228261) |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2026-06-24 |