| NPI | 1144634007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106086) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 100438) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2024-03-14 |