| NPI | 1467065706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 66910) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 66910) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2023-03-29 |