| NPI | 1326492521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66589) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 10118) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2022-07-26 |