| NPI | 1053712547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 40149) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 40149) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2025-01-15 |