| NPI | 1265070239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12578278-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 112393) |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2024-12-18 |