| NPI | 1912678814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27131) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 116844) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW009626) | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2025-08-25 |