| NPI | 1437779584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 61352) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 93767) |
| Enumeration Date | 2020-04-19 |
| Last Update Date | 2020-04-19 |