| NPI | 1073287868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106969) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 106969) |
| 104100000X Social Worker | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2024-10-23 |