| NPI | 1760004196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 105528) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61676877) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2025-12-08 |