| NPI | 1831635507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 112045) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 8253) |
| 1041C0700X Social Worker, Clinical (Licence: MD 32833) | |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2025-07-29 |