| NPI | 1528517174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104460) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C016523) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2024-03-20 |