| NPI | 1912504549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21985) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 115018) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2026-07-27 |