| NPI | 1851773550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107245) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 24749) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2026-05-05 |