| NPI | 1639845944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67452) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 104100000X Social Worker (Licence: TX 67452) | |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2022-06-21 |