| NPI | 1366048415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67264) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: 4214625) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |