| NPI | 1811558711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60993) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 90860) |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2024-03-18 |