| NPI | 1881108728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66109) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 093089) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2024-07-05 |