| NPI | 1013475151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58941) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 114357533501) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-10-02 |