| NPI | 1568092823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64486) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 64486) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2021-09-07 |