| NPI | 1811374002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 68679) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009374) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW15227) | |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2025-02-24 |