| NPI | 1619649555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 104313) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 104313) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2024-03-19 |