| NPI | 1942754825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05679800) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2025-09-26 |