| NPI | 1598285033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 68640) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 8330-C) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2024-02-20 |