| NPI | 1760091755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 130482) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 117701) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2026-05-01 |