| NPI | 1902350739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66362) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-0328) |
| 1041C0700X Social Worker, Clinical (Licence: AZ 22993) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2025-12-18 |