| NPI | 1396349239 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62271) | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 4249710) | 
| 104100000X Social Worker (Licence: TX 62271) | |
| Enumeration Date | 2020-11-22 | 
| Last Update Date | 2023-10-26 |