| NPI | 1982382164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 44152) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 63389) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2026-06-12 |