| NPI | 1689285751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 112130) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 10121-C) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2026-01-14 |