| NPI | 1104249986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 56256) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 56256) |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 56256) | |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2023-01-26 |