| NPI | 1144749995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66141) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 6506) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2024-01-18 |