| NPI | 1013139997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 50624) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: TX 50624) |
| 104100000X Social Worker (Licence: TX 50624) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-11-20 |