| NPI | 1548725955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103750) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW15905) |
| Enumeration Date | 2019-02-10 |
| Last Update Date | 2022-04-21 |