| NPI | 1447605266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 68998) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010370) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2020-03-05 |