| NPI | 1700374147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115170) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 115327) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2026-03-24 |