| NPI | 1811468556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63302) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61196702) |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2025-12-16 |