| NPI | 1518551555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104402) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 12368) |
| Enumeration Date | 2021-02-20 |
| Last Update Date | 2024-05-08 |