| NPI | 1508473646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69514) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 69514) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2024-03-01 |