| NPI | 1912739962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 113753) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930601) | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-08-19 |