| NPI | 1245773860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 105769) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 101826) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2023-09-20 |