| NPI | 1780422949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 113595) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 131498) |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2026-07-05 |