| NPI | 1699449074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 113191) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 23432) |
| 1041C0700X Social Worker, Clinical (Licence: CA 116691) | |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2025-08-25 |