| NPI | 1679986186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110362) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW86925) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 171M500000X) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2023-11-20 |