| NPI | 1447754148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62594) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: TX 1449535) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2021-05-08 |