| NPI | 1710392733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 105959) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW61102795) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2025-05-30 |