| NPI | 1649577172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51230) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 51230) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2016-10-12 |