| NPI | 1568804870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63297) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 7940133-3502) |
| Enumeration Date | 2013-07-28 |
| Last Update Date | 2023-06-26 |