| NPI | 1609223213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103801) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 12794) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2021-11-17 |