| NPI | 1205473881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51968) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5669C) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2024-10-18 |