| NPI | 1548653751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67507) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: ND 5014) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2023-01-11 |