| NPI | 1730668450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 114649) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 14913) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2026-06-16 |