| NPI | 1578114112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62688) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 62688) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2020-09-03 |