| NPI | 1285056432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64544) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C010011) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2024-09-25 |