| NPI | 1659761047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 112267) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 88985) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2024-01-04 |