| NPI | 1316508534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 109275) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2024-01-05 |