| NPI | 1932742517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 115292) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4832) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2025-03-10 |