| NPI | 1902684657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw19534) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 116990) |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2025-09-19 |