| NPI | 1932986841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009924995) |
| 104100000X Social Worker (Licence: TX 64663) | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2025-02-05 |