| NPI | 1568156628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 110164) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 8449) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-06-04 |