| NPI | 1740672898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110883) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CWS 9923795) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2023-08-16 |