| NPI | 1982914941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-10576) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW9414) |
| 1041C0700X Social Worker Clinical (Licence: TX 111985) | |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2025-03-26 |