| NPI | 1952977647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C019307) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 63267) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2026-09-05 |