| NPI | 1790376531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64079) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L16335) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140682) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2506720) | |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2026-03-02 |