| NPI | 1447820378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62932) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928924) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-09-06 |