| NPI | 1760917504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112165) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 55735) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2023-08-10 |