| NPI | 1558963330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104036) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 079581) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2024-05-08 |