| NPI | 1760844005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 56602) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L6637) |
| 1041C0700X Social Worker, Clinical (Licence: WA 61102960) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2025-12-20 |