| NPI | 1740996693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW107320) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 110029) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-03-30 |