| NPI | 1659758720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60613) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 60613) |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 60613) | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2020-09-28 |