| NPI | 1245926963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60612) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 60612) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-09-07 |