| NPI | 1689388829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 112710) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012125) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2025-05-14 |