| NPI | 1568012086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103349) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM x-11297) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2023-03-13 |