| NPI | 1770376501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 117055653501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 114334) |
| Enumeration Date | 2025-05-24 |
| Last Update Date | 2025-05-24 |