| NPI | 1023434933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63483) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 63483) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 33859) | |
| Enumeration Date | 2014-03-16 |
| Last Update Date | 2024-12-18 |