| NPI | 1790457729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57307) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2019005790) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW009577) | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2025-04-26 |