| NPI | 1205390580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11566) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-09839) |
| 104100000X Social Worker (Licence: TX 66160) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 66160) | |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2022-07-02 |