| NPI | 1265031223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103372) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 3072) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2022-06-21 |