| NPI | 1962228494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 115339) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 259858) |
| Enumeration Date | 2024-11-30 |
| Last Update Date | 2025-09-26 |