| NPI | 1285048264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 52812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09930539) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2024-07-17 |