| NPI | 1649580960 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 42331) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX S42331) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2023-12-21 |