| NPI | 1992457428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67548) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014114) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2406131) | |
| 1041C0700X Social Worker, Clinical (Licence: MN 34186) | |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2026-02-15 |