| NPI | 1407206154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 111083) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C012305) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2024-04-18 |